This 4 ½ year old boxer was referred for excision of gingival hyperplasia. Both mandibular canines had gingival enlargement as did the maxillary premolars. Treatment pending biopsy was excision with a scalpel and contouring with a #12 fluted finishing bur. Biospy revealed an ossifying epulides on the right canine definitive therapy would be removing the mass and extracting the canine. Closure will be a problem due to the involvement of the entire attached gingiva adjacent to the canine.
Unfortunately the left mandible has a large cyst forming. See caption below for details.
Intially this ossifying epulis was treated with bulk excision with a blade and contour with a #12 fluted bur pending histopath.
Immediate postop. The bur decreases hemorrhage to a minimum.
The left mandible had similare changes
Postoperative view
A large cyst is present in the left mandible. This will eventually destroy the jaw if not treated. Note the supernumery first premolars with resorption on them and the mesial root of the second premolar.
